| NPI | 1801461553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FLINKO Sw/Director/Owner 505-307-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-09-21 |